# 119-hr-10394: Protecting Approved Care Act

119-hr-10394, Protecting Approved Care Act, is a 119th Congress bill sponsored by Rep. Landsman, Greg [D-OH-1] (D-OH); status introduced; PRIA reads it as touching household money (as of 2026-10-24).

- Canonical: https://policyrisk.com/legislation/119-hr-10394
- As of: 2026-10-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10394
- Congress: 119
- Title: Protecting Approved Care Act
- Status: introduced
- Introduced: 2026-09-15
- Sponsor: Rep. Landsman, Greg [D-OH-1] (D-OH)
- Cosponsors: 5
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-24

## Summary

**limit retroactive denials and payment reductions by Medicare Advantage plans**. This bill would add a new rule to the Social Security Act that stops Medicare Advantage organizations from reversing approvals or cutting payment after an item or service has been authorized or provided, with narrow exceptions for fraud or specified "good cause." - Medicare Advantage enrollees and families: Would prevent plans from denying coverage after a prior or concurrent authorization, including authorizations for hospital-to-hospital or hospital-to-post-acute transfers. It takes effect for plan years beginning January 1, 2028. - Hospitals and providers: Would make payments and authorizations more stable by barring plans from reopening coverage or changing claim codes in ways that reduce payment except for fraud or defined good cause. - Medicare Advantage plans and insurers: Would limit the use of post-authorization adjustments as a way to reduce liabilities while preserving existing anti-fraud and good-cause rules referenced in federal regulations.

## Cosponsors (5)

- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA), 2026-09-24T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-10-01T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2026-10-05T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2026-10-22T00:00:00.000Z
- Rep. Onder, Robert F. [R-MO-3] (R-MO), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- Protect Medicare Advantage approvals: benefit, medium. If enacted, Medicare Advantage (MA) plans would not be allowed to retroactively deny coverage or reduce payment after they approve a service while you are receiving it. The protection would also apply when you receive a service that did not require prior approval. It would start for plan years begi…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-5401: Pay Our Troops Act of 2026
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1920: FARMLAND Act of 2025

## Sources
- [119-hr-10394 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10394)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-5401: Pay Our Troops Act of 2026](https://policyrisk.com/legislation/119-hr-5401)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-1920: FARMLAND Act of 2025](https://policyrisk.com/legislation/119-hr-1920)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10394 (as of 2026-10-24).